Alternate Destinations—When the ED Isn't the Best Option for Our Patients—On Demand
Tab Boyle, EMT-P, BSN: No financial relationships to disclose
William j. Stahl, NREMT-P, BS, IV: No financial relationships to disclose
This presentation will began with a review of literature on alternative destination models for EMS. Options such as urgent care centers, ET3, and transport to crisis centers will be explored. Philadelphia's own struggle to implement ET3 will be reviewed, as well as the innovative program 'AR-2' - which successfully transports patients to definitive care after overdose. We will review the planning process for PFD's 'AR-3' - an upcoming project set to transport behavioral health emergencies to crisis response centers, due to be operational this year. Finally, we will provide a guideline for how to plan, implement, and fund alternative destination programs, to include finding and writing grants, collaboration with outside agencies, and lessons learned along the way.
Learning Objectives:
Upon completion, participants will be able to summarize existing EMS programs that utilize alternate destinations (other than the ED).
Upon completion, participants will be able to appraise the effectiveness of specific program examples and interpret their respective strengths and weaknesses.
Upon completion, participants will be able to utilize these tools to design alternate destination models that work best in their own current EMS systems.
William j. Stahl, NREMT-P, BS, IV: No financial relationships to disclose
This presentation will began with a review of literature on alternative destination models for EMS. Options such as urgent care centers, ET3, and transport to crisis centers will be explored. Philadelphia's own struggle to implement ET3 will be reviewed, as well as the innovative program 'AR-2' - which successfully transports patients to definitive care after overdose. We will review the planning process for PFD's 'AR-3' - an upcoming project set to transport behavioral health emergencies to crisis response centers, due to be operational this year. Finally, we will provide a guideline for how to plan, implement, and fund alternative destination programs, to include finding and writing grants, collaboration with outside agencies, and lessons learned along the way.
Learning Objectives:
Upon completion, participants will be able to summarize existing EMS programs that utilize alternate destinations (other than the ED).
Upon completion, participants will be able to appraise the effectiveness of specific program examples and interpret their respective strengths and weaknesses.
Upon completion, participants will be able to utilize these tools to design alternate destination models that work best in their own current EMS systems.
Caring for the Navajo Nation-On Demand
Brian LaCroix hosts a discussion with Navajo Nation EMS Director Chris Kescoli, EMT Penny Hoskie-Johnson, and Medical Director Chelsea White, MD.
A rare look at EMS on America's largest native reservation. Learn how the Navajo Nation provides care and transportation of their residents and visitors in a land that transverses four states. A true indigenous people, anthropologists believe the Navajo arrived in the American southwest around 1300. Recognized as sovereign Native-American Nation, the Navajo Indian Reservation was established according to the US Treaty of 1868. It is geographically situated within four mountain ranges where the native people are said to “receive protection under these sacred mountains.”
It’s the largest land area held by a Native American tribe in the U.S., comprising about 16 million acres, or about 25,000 square miles, approximately the size of Massachusetts, New Hampshire, and Vermont combined. It takes nearly 4 hours to drive from east to west across its’ borders. There are approximately 298,000 enrolled members; with over 173,000 Navajos living within the EMS response region on the reservation. Navajo Nation EMS serves under the Executive branch of the Nation, and reports to the Division of Public Safety.
Learning Objectives:
Be exposed to EMS in a new culture right here in the United States
Learn how traditional Medicine-men and western medicine co-exist
Enhance their knowledge of Native Americans who serve in the career field of paramedicine
A rare look at EMS on America's largest native reservation. Learn how the Navajo Nation provides care and transportation of their residents and visitors in a land that transverses four states. A true indigenous people, anthropologists believe the Navajo arrived in the American southwest around 1300. Recognized as sovereign Native-American Nation, the Navajo Indian Reservation was established according to the US Treaty of 1868. It is geographically situated within four mountain ranges where the native people are said to “receive protection under these sacred mountains.”
It’s the largest land area held by a Native American tribe in the U.S., comprising about 16 million acres, or about 25,000 square miles, approximately the size of Massachusetts, New Hampshire, and Vermont combined. It takes nearly 4 hours to drive from east to west across its’ borders. There are approximately 298,000 enrolled members; with over 173,000 Navajos living within the EMS response region on the reservation. Navajo Nation EMS serves under the Executive branch of the Nation, and reports to the Division of Public Safety.
Learning Objectives:
Be exposed to EMS in a new culture right here in the United States
Learn how traditional Medicine-men and western medicine co-exist
Enhance their knowledge of Native Americans who serve in the career field of paramedicine